Add Attendee

This form will be used to create, or connect with, your official Wake Tech student record. Please use your legal name and social security number.
To reserve a seat without adding this information, you will need to visit a Wake Tech location.

Items marked with a * are required

Full First Name *

Middle Initial

Full Last Name *

Birthdate (mm/dd/yyyy) *

SSN (NNN-NN-NNNN) *

Address *

Address Line 2

City *

State/Province *

Zip/Postal Code *

County *

Country *

Email Address (personal preferred) *

Mobile Phone *

Daytime Phone

Gender

Educational Level

Race

American/Alaska Native

Asian

Black or African American

Hawaiian/Pacific Islander

White

Ethnicity

Veteran Status

Interests

Advanced Manufacturing

Biotechnology

Business

Communication, Social Sciences, Art and Humanities

Construction and Maintenance

Education

Engineering

Health Care and Wellness

Hospitality and Personal Services

Information and Digital Technology

Public Safety

Science and Math

Transportation

Are you an Agency Training Coordinator?

If applicable, please provide the following company information

skip this if you are not affiliated with a Company

Company Name *

Address *

Address Line 2

City *

State *

Zip/Postal Code *

Country *

Phone